Individual
DAVID MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1001 28TH ST S, FARGO, ND 58103-2372
(701) 232-3133
(701) 478-4140
Mailing address
1001 28TH ST S, FARGO, ND 58103-2372
(701) 232-3133
(701) 478-4140
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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